AST-0476-2018TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: AST-0476-2018Date Issued: Wednesday, July 24, 2019
AST-0476-2018
This is to certify that work requested to be done as shown by Permit Number
has been completed.
289.9-1-10
Tax Map Number:
3 SULLIVAN RD
Location:
Robert Livingston, Brie Livingston
Owner:
Robert Livingston
Applicant:
This structure may be occupied as a: Deck 376 sq. ft.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the
Director of Building & Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
E
4
s .' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
...i
_-, ` -:.--f; Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0476-2018
Tax Map No: 289.9-1-10
Permission is hereby granted to: Timber and Stone LLC
For property located at: 3 SULLIVAN RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Robert Livingston Deck $14,500.00
Owner Address: 3 SullivanRD Total Value ' $14,500.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Timber and Stone LLC
35 River Crest RD
Gansevoort,NY 12831
Plans&Specifications
Deck 376 sq.ft.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,July 25,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the e iration date.
Dated at the Town of ueensb edn . ,!u"y 5,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
yA
Office Use Only
P V1.7
ACCESSORY STRUCTURE Permit r: /- 47 --)no I
; - PERMIT APPLICATION Permit Fee:$/a-5 '
Town of Queensbury
742 Bay Road,Queensbury,NV 12804 invoice#: e6673
P:51S-761-8256 www.queensbury.net
Project Locati.on: .3 .sv/4 van Z`q,-c. lxor / N ff /2 S yam'
Tax Map ID #: 2 a?. ? '"/"'d Subdivision Name:
CONTACT INFORMATION: U
prr. r i
e A licant: ! ! 6
0
Name(s): Gr-/ Qv" r e Tr ,mi s 3 Przo Srt?BRY
Mailing Address, C/S/Z: 3 Iu//iv.iyj 24 L*4- Geevpe 415.1 .292tin.,�_�.. --
Cell Phone: (5'M ) 7111/ • Ll2.7) Land Line: tics, e
Email: f Cv yo,1 00.
• Primary Owner(s):
Name(s): $ 4e't co 4/0ru-C--
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:*
e Contractor(s): -T
Business Name: J GGc,
Contact Name(s): fl'%/ Z. ass de,-.
Mailing Address, C/S/Z: 3.S' !t+'v, Cree , t
Cell Phone: ( ) Land Line: (S,'8 ) 7�i.� 9 3 011
Email:
• Architect(s)/Engineer(s): ,78ne perideor
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
ntact Person for Building & Code Compliance:;
cell Phone: ( ) Land Line: ( )
Email:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATIONo
TYPE: Commercial Residential
WORK CLASS:
•
71 Deck,Open Porch Solar Panels(w/o rafter upgrades) Carport Cell Tower
Shed _Pavilion, Pole Barn,Canopy Dock Gazebo
Detached Garage Boathouse(with or w/o sundeck) _3-Season Porch
Other(description:
SQUARE FOOTAGE OF STRUCTURE:
1st floor:
2nd floor:
Total square feet: ''."'57' t.
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ / `7? 34.-40
If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES CO Explain:
4. Are there any easements on the property? YES 411a,
DECLARATION:
I. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local
building laws and ordinances, and.in conformance with local zoning regulations.
4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: / o&G�f ' '��4,7 J- 44,--)
SIGNATURE: /G� DATE:7 c/e/
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
INSPECTION WORKSHEET (005845-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:
Inspection Date:
Inspector:
Case Module:
Inspection Status:
Inspection Type:
AST-0476-2018
08/10/2018
John O'Brien
Permit
Failed
Accessory Structure Final
Job Address:Parcel Number:3 SULLIVAN RD
Lake George, NY 12845
289.9-1-10
Contact Type Company Name Name
Primary Owner Livingston, Robert
Contractor Timber and Stone LLC ,
Applicant Livingston, Robert
Primary Owner Livingston, Brie
Granted Permission Timber and Stone LLC ,
Checklist Item Passed Comments
Building Inspector Notes NO 8/10/18 Final Inspection Not Approved
-Install handrail on stairs
-Settle setback issue with Craig Brown in zoning.
Handrail 4 or more risers NO 8/10/18 Final Inspection Not Approved
-Install handrail on stairs
-Settle setback issue with Craig Brown in zoning.
Guard at deck, porches 36" or more YES
Site Plan / Variance required NO 8/10/18 Final Inspection Not Approved
-Install handrail on stairs
-Settle setback issue with Craig Brown in zoning.
Okay To Issue CC NO 8/10/18 Final Inspection Not Approved
-Install handrail on stairs
-Settle setback issue with Craig Brown in zoning.
Aug 10, 2018 Page (4)
O'Brien, John (Inspector)
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` - Deed Reference
1 Susan Sullivan
U _
to
Susan Sullivan
Brie Ko5ecran5
Book: 4284
9 � O
,,c�c / Page: 155
1985 Freq�r 9S.oJQ' Iron Pi a Found oo �;�; — Date: 17 June 201 1
a
Ca ed Rod Set �+ �1
pp N Map Reference
_O Ma of...p
John h. Sullivan others
m r \ By: Leslie W. Coulter
— y 120 \ Date: 28 May 1947
Area — 0.28 �± acres 130 \
140 Iron Pipe Found
Iron Pipe Found
o�
150
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U- 130 t / /
160 � E 29.2'
140 / 120. ® NELL
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D�600*
0 set
Capped Rod 4 /
Exist tic ' 0' ` ~ _ �
ad Set
Iron Pipe Found p• /
1 9' I
/gam Area = 0.39—,,acres
200 Iron Pipe Found PERMIT PL PLAN y * 1 Ila
� I � �� /
I HAVE PERSONALLY MEASUR HE DISTANCE �/� r/ Qp /
FROM THE PROPERTY LIN TO THE N. \ �`. 0 /
PROPOSED ST UCTURE(S)OR GN(S)
SIGAA'fURE
of a survey for 0
• • tig /
Stoll, �°Robertis
51tu to in
Town of Queen5burw County of Warren / M
State & New York Capped R,od Set
i� — 5eptember 2014 �Scale: I — 20 feet Date: 9 Mapping Notes
Note: Only title surveys bearing the maker's
Survey and Map by
embossed seal should be relied upon since
other than embossed-seal copies may contain
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� unauthorized and undetectalAa modificatiom,
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surveyors Engineers D C C E Unauthorized alteration or addition to a survey map
r *; LAKE GEOR�GE, N YORK 12845 � ' � bearing a licensed land surveyor's seal is a violation
s'; of section 7209, su"vwsion2, of the New York State
{ J U L c.:� � ;I It Education Law.
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QU: 38 1 _21 , 20 (old)
QU: 289.09- 1 - 10, 1 1 (new)
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